脑心综合征120例临床分析  

Clinical treatment of patients with cerebrocardiac syndrome:an analysis of 120 cases

作　　者：黄跃金[1] 余琳玲[1] 蔡学礼[1] 邬至平[1] 陈建军[1] 王苑华[1] 程伟进[1] 陈洁芳[1] 

机构地区：[1]温州医学院附属第五医院(丽水市中心医院)神经科,丽水323000

出　　处：《实用神经疾病杂志》2005年第5期9-10,共2页

摘　　要：目的探讨急性脑卒中后脑心综合征(Cerebral-cardiacsyndrome,CCS)的临床特征、发病机制和防治措施。方法对120例CCS患者的临床资料进行回顾分析。结果本组急性脑卒中后CCS发生率为55·3%,心脏损害的主要表现为心电图(ECG)的ST-T改变,心律失常,假性心梗样图形,急性心力衰竭及心肌酶的增高,卒中后72h内CCS发生率为85%,急性期综合治疗好转率为95%,死亡率为5%。结论积极心电监测、保护心脏功能、控制心律失常等对患者安全度过CCS有较好的作用。Objective To study the characterictics causes and treatment of cerebrocardiac syndrome （CCS）. Methods 120 cases of clinical data were analyzed. Results The syndrome of heart damage were mainly ST- T abnomal, arrhythmia, myocardial infarction - like graph of ECG and acute heart failure. The incidence rate was 55.3%. Patients with cerevrocardiac syndrome （85%） occur in the first 72h. The improved rate was 95 % after treatments. The dead rate was 5 %. Conclusion Protecting the heart function, controlling the arrhymia may be helpful to the patients to pass the acute period.

关 键 词：脑心综合征 临床分析 急性脑卒中 心电图 心脏损害 心律失常 

分 类 号：R747.9[医药卫生—神经病学与精神病学]